Patient Profile:
A 38-year-old professional experiencing difficulty falling asleep for over a year due to persistent worry about sleep performance.
Symptoms:
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Sleep onset latency exceeding 90 minutes
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Nighttime anxiety
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Frequent awakenings
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Daytime fatigue and poor focus
Diagnosis:
Psychophysiological insomnia caused by conditioned sleep anxiety.
Treatment Plan:
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CBT-I program
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Stimulus control techniques
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Sleep restriction therapy
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Relaxation training
Outcome:
Within 6 weeks, the patient reduced sleep onset time to under 30 minutes and reported improved daytime energy without medication.